Emergency Exercise Exemptions

CMS has updated the Emergency Preparedness Testing Exercise Requirements to accommodate industry impacts from COVID-19, exempting a facility that activates its emergency plan to deal with a real emergency (such as COVID-19) from having to complete the subsequent full-scale community-based exercise or individual facility-based functional exercise. To qualify for the exemption, a facility must complete written documentation of their emergency plan activation. CMS and State Survey Agencies can request a copy of this documentation during survey and certification reviews. Facilities can provide this documentation by completing an After-Action Report (AAR) following the actual emergency.

Information on how to create an AAR can be found in the Network LMS Emergency Preparedness Resource Book or at https://www.kcercoalition.com/en/events/2020/july-2020/dialysis-facilities-the-basics-of-preparing-an-after-action-report-for-an-incident-or-disaster/ .

Find an AAR template at https://s3-us-west-2.amazonaws.com/nwrn.org/files/LMS-O/KCER_Dialysis+Facility+Incident+AAR_FINAL.pdf .

The updated Emergency Preparedness Testing Exercise Requirements can be found at https://www.cms.gov/files/document/qso-20-41-all.pdf .

If you have any questions or need assistance completing the requirements for the exemption, contact your Network.

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